HomeMy WebLinkAbout06030158 Application
City of Carmel/Clay Township Permit #: nre rJ'30f5'6
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDING, PROJECT, OR TENANT NAME:
C 5lfG
STAlE COMMEROAL
DESIGN RELEASE #: 3/447 3
WAlER lJITUlY
PROVIDER: Uf/.mn.
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
PHONE
I.. INSU/l/JAU/! LO.
alY
ConmlfL
NAME
R fr: CONHrt.U<:.. aN 5~Rvlc..I!S
STREET ADDRESS
171/ N. PIf/o,JAJS 'Sr.
BUILDER'S EMAIL ADDRESS
m
NAME
\ ~ J N fo
STREET ADDRESS
'.5(..0 II ( L.l.. r
ADDRESS OF CONSTRUCI10N
540 II COi
C/Jnm .
Address of Shell Building (If different than Address of Construction)
SCOPE(S) OF 0 FDN 0 STR Oi? AROi
RELEASE: ~ ELEC 0 SPKLR aTHER(S):
SEWER lJITUlY
PROVIDER: c;'ll.m It {.
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
BLDG. CONSTRUCI10N TYPE: /1.8 SF/< OCCUPANCY CLASSIFICATION: B Rem
PE OF oN. I-Ui-1 CONSft'PE~~VEMENT: PROJECT INFORMATION:
COMMER L 0 C~mpL,)I'C3 with all 0.JuNE/IYJ$UCTIJRE
of "/ot" "'.' , , - 0
(';Dcliwnetl hbSptals;l"d !..or::UJ t;O(J_~':_. ADomON
a lQfj'tes[~",r;;:MU,\irY ~'~EFlVIe&~~~:::(S)
o I~Lt;ARMEL / CLtJ,y -~D\;\ N~ll)IJzzanineorDeck
o Munidpal/Public, Bldg IAN ^ RE)i;jbtl~L
O ll\iLJ ..,
School . NEW TENANT FINISH
o Church 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 OETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
J!! SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLlTlON
PHONE
573-(,03
alY
UIl
FAA
57g-(,857
STAlE
IN,
ZIP
4t,032
BEST METHOD OF CONTACT:
FAA
STAlE
/;y.
ZIP
4&0:32-
/. .
SUITE # (If Applicable)
ZONING:
Lot # and Subdivision (If Applica Ie)
Co (
",TAA'MAI';PARCEL1~ 161 0 '7 35"0"
3:5 1:J6.sB?? v
10
~
~
o MECH
~ PLUM
SQUARE
FOOTAGE:
ZZ 270
ESTlMAlED COST OF CONSTRUCI10N:
(EXCLUDING LAND VALUE) "5~8 8 3
00
-
Early Release I
Pennlt: _Y _N
Lot Split: _Y LN Sump Pump: _Y LN
Does any part of the property lie within a special Flood
designation area: _Y -./ N'
PLUMBING CONTRACTOR:
B/Jn.1! rnl!c..JJ/JIo/U.AI.. INc..
Manufactured
Trusses: _Y LN
Plumber's Indiana state License #:
c P '02. 0000 z..
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for
beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under authOrity of I.C. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancyor Substantial Co don has been issued by the Department of Community Services, Cannel, Indiana.
,
4WBlfllT /YJ/~IJAI[~ B/lv.NuJ.I., 3'/7 - 0&
Print I Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: /.7 Filing Fees: /iSCJ/-I..2 0
. . ~ / Q;( ~A # Charged Re-
UpperFoot.ng . LowerFooting Under Slab 16'IO(P Base Inspections: I, ,oJ C/ Reviews
. Meter Base ~ Site 1-/ Cert. of Occupancy: 10:5. 00
if: ,t.f 12 Cf g r. Additional Fees
TOTAL' ~ ~~~ /6A
'~N~r t21Jd d ~ t70
e Received b
'Yi\ ~ ?>O.;lOO(,
/Approved: Dept. of Community Services (Dale)
"fILP COMMEROAL